Individual
GINA ANN GROSSCUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5849 KERR ROAD, GAMBIER, OH 43022
(740) 501-0087
Mailing address
5849 KERR ROAD, GAMBIER, OH 43022
(740) 501-0087
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.19127
OH
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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